SHINE DENTAL PC
NPI 1720262496
Dentist - General Practice in Bayside, NY

Active since December 18, 2007
4543A BELL BLVD, BAYSIDE, NY 11361(718) 423-2248 Get Directions Write a Review

NPPES record last updated: December 18, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shine Dental Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINE DENTAL PC (NPI 1720262496) is a healthcare organization registered as a general practice in Bayside, New York and active in the NPI registry since December 2007. The organization lists Dustin Shin, President, as its authorized official.

NPPES Registry Identity

NPI1720262496
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHINE DENTAL PC
Location Address4543A BELL BLVDBayside, NY 11361-3352
Mailing Address4543a Bell BlvdBayside, NY 11361-3352 · (718) 423-2248
Organization SubpartNo
Authorized OfficialDustin ShinPresident · (718) 423-2248
Enumeration DateDecember 18, 2007
NPI 1720262496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 050531
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4543A BELL BLVD, Bayside, NY 11361

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
4543A BELL BLVD
BAYSIDE, NY 11361
Clinic/Center (Dental)
4543A BELL BLVD
BAYSIDE, NY 11361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shine Dental PC's NPI number?

The NPI number for Shine Dental PC is 1720262496. It was assigned to this organization in the NPPES registry on December 18, 2007.

Where is Shine Dental PC located?

Shine Dental PC is located at 4543A Bell Blvd, Bayside, NY 11361. The listed phone number is (718) 423-2248.

What is Shine Dental PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shine Dental PC was last updated on December 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.